Mazuva ese ndichanzwa kuti cervical erosion ichaita cancer kana yanyanya. Kutaura zvazviri, havasi vose vachava nekenza. Zvinongogona kutaurwa kuti varwere vane cervical erosion iboka rine njodzi regomarara remuromo wechibereko. Kukukurwa kwekervical kunogona kurapwa kana kukanyatsogadziriswa. Hongu, kungoti vakadzi vanowanzononoka kurapwa, havatore chirwere ichi zvakanyanya, uye pakupedzisira vanoita kuti zvirwere zvakakomba zvionekwe. Kunzwisisa kwakashata kwegomarara remuromo wechibereko kazhinji ndiyo pfungwa huru inokonzera chirwere. Zvinogona kuonekwa kuti chirwere chacho chinonzwisiswa sei. kukosha.
Nhema 1: HPV hutachiona = gomarara remuchibereko
Iko kuitika kwegomarara remuchibereko kwakabatana zvakanyanya nehutachiona hunonzi human papilloma (HPV). Zvidzidzo zvakaratidza kuti hutachiona hunoramba hune hutachiona hwehutachiona hwemapillomavirus evanhu chinhu chakakosha chegomarara remuchibereko uye maronda ayo anonamira. Utachiona uhu hunogona kuonekwa mumuviri wevazhinji vanorwara negomarara remuchibereko.
Chero mukadzi anoita bonde anogona kutapukirwa nehutachiona hweHIVV kuburikidza nekubatana pabonde. Vanosvika makumi masere kubva muzana emadzimai vakatapukirwa nehutachiona uhwu munguva yeupenyu hwavo.
Nekudaro, hutachiona hweHIVV hazvireve kuti hunokonzera gomarara remuchibereko, nekuti mukadzi wese ane hutano ane hutachiona. Zvidzidzo zvakasimbisa kuti mushure mehutachiona hweHIVV, masisitimu mazhinji evakadzi anokwanisa kujekesa HPV mumuviri. Vakadzi vashoma chete ndivo vanokonzeresa maronda emuromo wechibereko nekuti havagone kuparadza iyo HPV yakapinda mumuviri uye inokonzeresa hutachiona hweHIVV. Vamwe varwere vanozoenderera mberi voita gomarara remuchibereko, maitiro aya anotora makore mashanu kusvika pagumi.
Kunyangwe ichizoenderera mberi kugomarara remuchibereko mushure mehutachiona hweHIVV inoenderanawo nemhando yeHIVV. Kune zvinopfuura zana zvidimbu zveHIVV hutachiona. Mhando dzakajairika dzehutachiona hweHIVV mumaturakiti ekuberekera vanhukadzi marudzi ari 100, 6, 11, 16. Pakati pawo, HPV18 neHIVV6 ndidzo mhando dzine njodzi shoma, nepo HPV11 ne16 iri mhando dzine njodzi huru. Zvidzidzo zvegomarara remuromo wechibereko kubva kunyika dzepasirese zvakawana kuti HPV18 ne HPV16 vane huwandu hwehutachiona hwakanyanya pakati pevarwere vegomarara remuromo wechibereko.
Nhema dzechipiri: Kukanganiswa kweCervical kunogona kuchinja kuita kenza
Vakadzi vazhinji vane kusanzwisisa kwekuti kukanganiswa kwechibereko kunogona kukonzera gomarara remuchibereko, saka vanotya kukuvara kwechibereko.
Mune zvekurapa kutaura, yechikadzi columnar epithelium mukati memuromo wechibereko ndeye valgus pachinzvimbo checervical squamous epithelium. Kana chiremba achiongorora, anozoona kuti kuzara kwemukati wechibereko kunoonekwa sekutsvuku, izvo zvinodaidzwa kunzi "kuchera kwechibereko". Kukurwa kwevhu hakusi "kuora" mupfungwa yechokwadi. Iyo inogona kuve chiitiko chemuviri. Pasi pechiito cheestrogen, vakadzi vezera rekubereka vana vane valgus epithelium mukati memuromo wechibereko kutsiva squamous epithelium yemuromo wechibereko, ichiratidza chimiro "chekuputika". Zvisinei, vakadzi vane mwero wakadzikira weesrogen vasati vayaruka uye kuenda kumwedzi, saka “kukukurwa” hakuwanzoitika.
Izvo zvakakosha kuti uzive kuti kubvarura kwemuromo wechibereko kunogona zvakare kuve yakajairika hutachiona nyika. Gomarara rekutanga remuromo wechibereko rakafanana chaizvo pakuonekwa nekukuvara kwemuromo wechibereko uye rinokanganisika nyore. Naizvozvo, kana kukanganiswa kwechibereko kuchiwanikwa mukuongororwa kwevakadzi, hakugone kutorwa zvishoma. Izvo zvinodikanwa kuti usimbise kuongororwa nekuwedzera cytology uye biopsy, kusabvisa mukana wekenza yemuchibereko, uye kurapa nemazvo.
Kusanzwisisana 3: Usatarise kuongororwa kwevakadzi
Kubva kuhutachiona hweHIVV hutachiona kusvika pakuitika uye kukura kwecancer yechibereko, pane zvishoma nezvishoma kosi yechisikigo, kazhinji sekureba kungangoita makore mashanu kusvika kugumi. Naizvozvo, chero bedzi vakadzi vachigara vachiongororwa gomarara remuchibereko, zvinokwanisika kuwana "seedling" yechirwere munguva nekuchiuraya padanho rekutanga. Parizvino, mushure mekurapwa kwevarwere vane gomarara repamuromo wechibereko, makore avo mashanu ekupona anogona kusvika 5% kusvika 10%.
Vanhukadzi vabva zera rekubereka havafanire kufuratira kuongororwa kwechirwere chemadzimai, kusanganisira cervical cytology sePap smear kana liquid-based cytology (TCT) ongororo, inova nzira yakakosha pakutsvaga maronda emuchibereko negomarara remuchibereko. Kunyanya izvi zvinotevera zvinowanzoitika zvegomarara remuromo wechibereko hazvifanirwe kutorwa sezvinei:
Vanhu vari kuenderera mberi vaine hutachiwana hwemhando dzehutachiwana hwehutachiwana hweHIVV, kureva kuti, avo vanoongororwa hutachiona hweHIVV uye vakawanikwa vaine hutachiona hweHIVV16 neHIVV18;
Hunhu hwehunhu husina kunaka, kusanganisira zera risati rasvika kutanga bonde, vakawanda vanoita zvepabonde, uye hutsanana husina kunaka pabonde, zvichawedzera njodzi yegomarara remuchibereko;
Kusanzwisisa zvina: "silika nzira" yakashandura maziso
Gomarara remuromo wechibereko rinogona kusakonzera kusagadzikana kumurwere panguva yekutanga, uye zvimwe zviratidzo zvinokanganikwa nyore nyore. Vakadzi vezera rekubereka vanofanirwa kudzidza kuteerera kune "yambiro yehutano" yakapihwa nemuviri. Dzimwe nguva, kunyangwe ichingova "zviratidzo zvinyararire", panogona kuve nenjodzi dzakavanzika.
Mushure mekukurumidza kuonekwa, gomarara remuromo wechibereko harisi rakaipisisa. Proton therapy ichiri tariro yekurapa. Proton kurapwa ndiko kukwidziridzwa kwemaprotoni akachajiwa kuburikidza neanokwidziridza, ayo anova anopinda zvakanyanya ionizing radiation. Inopinda mumuviri wemunhu nekumhanya kukuru uye inotungamirwa nemidziyo yakasarudzika kuti isvike panzvimbo yebundu. Nekuda kwekukurumidza kumhanya, mukana wekudyidzana neakajairwa matishu kana maseru mumuviri wakadzikira zvakanyanya. Kana uchisvika pane chimwe chikamu chebundu, kukurumidza kunoderera kamwe kamwe. Uye mira uye usunungure simba rakawanda, iro rinogona kuuraya maseru egomarara pasina kukuvadza matishu akapoteredza uye nhengo. Proton therapy inogona kuramba ichinyatso kurapa mapundu aya uchidzivirira idzi nhengo dzakakosha kana mabasa ezvimiro. Hazvibviri panguva yekurapa.
Mushure mekunge vakadzi vave nekunzwisisa chaiko kwechirwere, chingave kusekerera kwechibereko kana gomarara remuchibereko, vanofanirwa kuve nemaonero akanaka ekurapa. Kana paine kupera kwechibereko, tanga wabvisa mukana wekenza, wobva wagadzirisa kurapwa, Kana wangopora, zvichave zvakanaka. Kamwe achitambura gomarara, yokutanga nguva yokugamuchira zvinobudirira kurapwa, mamiriro ezvinhu anogona kudzorwa nokukurumidza, uye utano achava zvishoma kunokuvadza.
